FORM 1023-EZ for DONELSON HILLS PARENT TEACHER ORGANIZATION

Field Data
EIN 82-2433994
Case Number EO-2017310-000473
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name DONELSON HILLS PARENT TEACHER ORGANIZATION
Organization’s Mailing Address 2690 WEWOKA STREET
City WATERFORD
State MI
ZIP 48328
Accounting period End 12
Primary contact name JENNIFER ROMANCZUK
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JENNIFER ROMANCZUK
TREASURER
181 COLEMAN DRIVE
WATERFORD MI 48328

Officer/Director/Trustee Two

SHAWN RODRIGUEZ
PRESIDENT
2914 OTSEGO
WATERFORD MI 48328

Officer/Director/Trustee Three

KNEILA KENNE
VICE PRESIDENT
3040 OLD ORCHARD DRIVE
WATERFORD MI 48328

Officer/Director/Trustee Four

CLAUDIA JOHNSON
CO-SECRETARY
PO BOX
TROY MI 48099

Officer/Director/Trustee Five

SARA JADCZAK
CO-SECRETARY
146 SOUTH TILDEN
WATERFORD MI 48328

Organization’s website
Organization’s email DONELSONHILLSPTO@GMAIL.COM
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 11/4/2017
Organization Incorporation State MI
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B94 - Parent/Teacher Group
Organization’s purpose Charitable: Yes
Religious: No
Educational: No
Scientific: No
Literary: No
Public Safety: No
Amateur Sports: No
Cruelty Prevention: No
Qualify For Exemption No
Legislation influence No
Compensation of Officer director trustee No
Donation of funds No
Conducting Activities Outside of United States No
Financial transactions with officers No
Unrelated Gross Income $1,000 or More No
Gaming Activity No
Disaster relief assistance No
One Third Support Public No
One Third Support Gifts Yes
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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